J Korean Assoc Pediatr Surg.  1998 Jun;4(1):27-33. 10.13029/jkaps.1998.4.1.27.

A Clinical Study of Vitelline Duct and Vessel Remnants

Affiliations
  • 1Department of Surgery, Hanyang University, College of Medicine, Seoul, Korea.

Abstract

Of 72 patients with vitelline duct and vessel remnants, 45 (62.5 %) had symptomatic lesions. The mean age of the patients was 27.9 months. Males predominated (4.6 : 1). There were 22 cases of Meckel's diverticulum, 6 of Meckel's diverticulum attatched to the umbilicus with a fibrous band, 6 cases of patent vitelline duct, 5 cases of vitelline artery remnants as a fibrous band and 2 cases each of umbilical sinus and polyp, and vitelline cyst. Twenty-three patients (51 %) presented with intestinal obstruction, 6(13 %) with rectal bleeding, 4(9 %) with perforated Meckel's diverticulum, 5 with intestinal juice drainage through umbilicus, 5 with umbilical lesions, 1 with abdominal mass, and 1 with sepsis. Intestinal obstruction due to fibrous band developed during infancy(average age; 4.6 months). Seventeen asymptomatic Meckel's diverticulum, 8 obliterated vitelline artery remnants and 1 vitelline vein remnant as fibrous band, and 1 vitelline cyst were found incidentally at laparotomy. About 82 % of the complicated Meckel's diverticulum presented in infants and children less than 4 years of age.

Keyword

Vitelline duct remnant; Omphalomesenteric duct remnant; Vitelline artery remnant; Vitelline vein remnant

MeSH Terms

Arteries
Child
Clinical Study*
Drainage
Hemorrhage
Humans
Infant
Intestinal Obstruction
Laparotomy
Male
Meckel Diverticulum
Polyps
Sepsis
Umbilicus
Veins
Vitelline Duct*
Vitellins*
Vitellins
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